| NPI | 1669764163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE RENEE DORAN Registered Nurse 480-752-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: AZ rn060853) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |